Abstract:
:Kaposi sarcoma-associated herpesvirus (KSHV)-related multicentric Castleman disease (MCD) is potentially lethal. Growing evidence indicates that, as in Epstein-Barr virus-driven lymphoproliferative disorders after transplantation, KSHV DNA burden in peripheral blood mononuclear cells (PBMCs) may represent the most accurate marker of disease activity. This report describes a patient with human immunodeficiency virus who was followed up clinically and by quantitative polymerase chain reaction for KSHV DNA sequences in PBMCs for more than 3 years following the diagnosis of KSHV-related MCD. Therapy with the antiherpesvirus agent cidofovir, antihuman interleukin-6 antibody BE-8, antiblastic chemotherapy, and combination antiretroviral agents did not achieve durable clinical or virologic remission of the disease. By contrast, administration of the anti-CD20 monoclonal antibody rituximab was well tolerated and allowed a 14-month remission of clinical symptoms and KSHV viremia. Rituximab should be added to the therapeutic armamentarium for KSHV-related MCD.
journal_name
Bloodjournal_title
Bloodauthors
Corbellino M,Bestetti G,Scalamogna C,Calattini S,Galazzi M,Meroni L,Manganaro D,Fasan M,Moroni M,Galli M,Parravicini Cdoi
10.1182/blood.v98.12.3473subject
Has Abstractpub_date
2001-12-01 00:00:00pages
3473-5issue
12eissn
0006-4971issn
1528-0020journal_volume
98pub_type
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